Randomized placebo-controlled trial on azithromycin to reduce the morbidity of bronchiolitis in Indigenous Australian infants: rationale and protocol
2011

Using Azithromycin to Help Indigenous Australian Infants with Bronchiolitis

Sample size: 200 publication Evidence: moderate

Author Information

Author(s): Chang Anne B, Grimwood Keith, White Andrew V, Maclennan Carolyn, Sloots Theo P, Sive Alan, McCallum Gabrielle B, Mackay Ian M, Morris Peter S

Primary Institution: Menzies School of Health Research, Charles Darwin University

Hypothesis

The anti-microbial and anti-inflammatory properties of azithromycin will improve the clinical outcomes of Indigenous infants hospitalised with bronchiolitis.

Conclusion

The study aims to determine if azithromycin can reduce the morbidity of Indigenous infants hospitalised with bronchiolitis.

Supporting Evidence

  • Bronchiolitis is the most common acute lower respiratory infection in infants worldwide.
  • Indigenous infants have higher rates of hospitalisation and morbidity from bronchiolitis compared to non-Indigenous infants.
  • Previous studies on macrolides for bronchiolitis have shown conflicting results.

Takeaway

This study is testing if a medicine called azithromycin can help Indigenous babies who are very sick with a lung infection called bronchiolitis feel better and stay in the hospital for less time.

Methodology

A dual centre, randomised, double-blind, placebo-controlled trial with Indigenous infants aged ≤ 24-months admitted with bronchiolitis.

Potential Biases

Potential biases may arise from the study's design, but randomisation and blinding are employed to mitigate these risks.

Limitations

The study only addresses infants hospitalised for bronchiolitis and may not account for variable presentations related to azithromycin's immune modulation effects.

Participant Demographics

Indigenous infants aged ≤ 24-months from two regional hospitals in Northern Australia.

Digital Object Identifier (DOI)

10.1186/1745-6215-12-94

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